| NPI | 1417555608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61642223) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2025-01-15 |